Florida supervision log (DH-MQA 5078)
The log a Florida registered intern keeps of supervision and client hours. It reads in two-week blocks, because Florida wants supervision at least once every two weeks.
- Form
- DH-MQA 5078
- Board
- Florida Board of Clinical Social Work, Marriage and Family Therapy and Mental Health Counseling
- Source checked
- 16 September 2026
What this form is.
- A running log of your supervised experience as a Florida registered intern, kept while you work rather than written at the end.
- It is read in fourteen-day windows. Florida's rule is at least one hour of supervision every two weeks, so a window with client hours and no supervision stands out.
- It sits alongside the core Florida numbers: at least 1,500 face-to-face psychotherapy hours and at least 100 supervision hours, spread over at least 100 weeks.
Who signs it
You and your qualified supervisor. Florida's log form says it may be signed electronically, under chapter 668, part I of the Florida Statutes.
Common mistakes.
Most are easy to catch while the work is fresh.
- Counting hours from before your intern registration. Time before registration does not count in Florida.
- A two-week window with client hours but no supervision. Catch it while you can still book a session.
- Mixing individual and group supervision into one number. They are recorded separately.
- Writing a client's name or initials anywhere on the log. It is an hours record, not a clinical one.
How HourSign fills it in.
- HourSign lays your hours out in the same fourteen-day windows the form reads in, with direct hours, individual supervision and group supervision in their own columns.
- A window that has client hours and no supervision is flagged while you can still fix it. HourSign flags it, it does not void it.
- Recorded hours and valid hours are both printed, so you can see the difference instead of guessing.
- No note is ever printed on the page, because a note can name a client.
HourSign's page is not the board's form. It carries the board's layout so the numbers can be copied across, or so the page can be stapled behind the board's own copy. Every page says so.

The official source.
Last checked 16 September 2026
Florida Board 491 supervision log (BM-SupervisionLog-Jan2024.pdf)
Check the board first. Check the board's own site for the current version of this form before you file anything. Boards change forms without notice, and the board's copy always wins over ours.
Other board forms.
- FloridaFlorida clinical experience verification (DH-MQA 1181)DH-MQA 1181
- CaliforniaCalifornia BBS weekly log (37A-525 and 37A-638)37A-525 / 37A-638
- CaliforniaCalifornia experience verification (37A-675)37A-675
- WashingtonWashington supervised experience verification (DOH 670-036)DOH 670-036
- OregonOregon supervision reportSupervision report
Your hours, already in the board's layout.
Log free, forever. Your first signed period is free too. Supervisors never pay.